Active NPI
Wardlow Surgery Center
- Ambulatory Surgical Clinic/Center
- Long Beach, CA
National Provider Identifier
1982821708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- WARDLOW SURGERY CENTER
- Practice address
- 200 W Wardlow Rd
Long Beach, CA 90807-4429 - Phone
- (562) 424-3574
- NPI assigned
- Apr 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andree Buckley
- Title
- Cfo
- Phone
- (805) 497-3736
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | CA | Primary |
Addresses
Primary practice location
200 W Wardlow Rd
Long Beach, CA 90807-4429
Mailing address
660 Hampshire Rd
200
Westlake Village, CA 91361-2504
Phone (805) 497-3736
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206316800000",
"number": "1982821708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 HAMPSHIRE RD",
"address_2": "200",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "913612504",
"telephone_number": "805-497-3736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W WARDLOW RD",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908074429",
"telephone_number": "562-424-3574"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WARDLOW SURGERY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-20",
"last_updated": "2008-03-24",
"status": "A",
"authorized_official_last_name": "BUCKLEY",
"authorized_official_first_name": "ANDREE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "805-497-3736"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.